Individual
KELLY WIER
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Contact information
Practice address
1614 GOLF COURSE RD, GRAND RAPIDS, MN 55744-8681
(218) 999-7776
Mailing address
7551 9TH ST N, SUITE 100, OAKDALE, MN 55128-6629
Taxonomy
Speciality
Code
Description
License number
State
225X00000X
Occupational Therapist
Primary
103838
MN
Other
Enumeration date
05/19/2015
Last updated
05/19/2015
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